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Showing results for "identifying".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37467/psn-pdf
    January 01, 2009 - Costs of intravenous adverse drug events in academic and nonacademic intensive care units. January 16, 2008 Nuckols TK, Paddock SM, Bower AG, et al. Costs of intravenous adverse drug events in academic and nonacademic intensive care units. Med Care. 2009;46(1):17-24. doi:10.1097/mlr.0b013e3181589bed. https://psnet…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34690/psn-pdf
    February 10, 2011 - Systems analysis of adverse drug events. February 10, 2011 Leape L, Bates DW, Cullen DJ, et al. Systems analysis of adverse drug events. ADE Prevention Study Group. JAMA. 1995;274(1):35-43. https://psnet.ahrq.gov/issue/systems-analysis-adverse-drug-events The authors report a "systems analysis" of the adverse drug…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48032/psn-pdf
    July 10, 2019 - Putting out fires: a qualitative study exploring the use of patient complaints to drive improvement at three academic hospitals. July 10, 2019 Liu JJ, Rotteau L, Bell CM, et al. Putting out fires: a qualitative study exploring the use of patient complaints to drive improvement at three academic hospitals. BMJ Qual…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/864857/psn-pdf
    March 20, 2024 - Safety on the ground: using critical incident technique to explore the factors influencing medical registrars' provision of safe care. March 20, 2024 Ralston K, Smith SE, Kerins J, et al. Safety on the ground: using critical incident technique to explore the factors influencing medical registrars’ provision of saf…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72727/psn-pdf
    February 10, 2021 - System factors affecting intraoperative risk and resilience: applying a novel integrated approach to study surgical performance and patient safety. February 10, 2021 Kolodzey L, Trbovich PL, Kashfi A, et al. System Factors Affecting Intraoperative Risk and Resilience. Ann Surg. 2020;272(6):1164-1170. doi:10.1097/s…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867141/psn-pdf
    November 13, 2024 - WHO research agenda on the role of the institutional safety climate for hand hygiene improvement: a Delphi consensus-building study. November 13, 2024 Tartari E, Storr J, Bellare N, et al. WHO research agenda on the role of the institutional safety climate for hand hygiene improvement: a Delphi consensus-building …

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73473/psn-pdf
    January 01, 2022 - Improving safety recommendations before implementation: a simulation-based event analysis to optimize interventions designed to prevent recurrence of adverse events. July 7, 2021 Langevin M, Ward N, Fitzgibbons C, et al. Improving safety recommendations before implementation: a simulation-based event analysis to …

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44370/psn-pdf
    November 20, 2015 - Interunit handoffs from emergency department to inpatient care: a cross-sectional survey of physicians at a university medical center. November 20, 2015 Smith CJ, Britigan DH, Lyden E, et al. Interunit handoffs from emergency department to inpatient care: A cross-sectional survey of physicians at a university medi…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45697/psn-pdf
    August 29, 2018 - Challenges of implementing a communication-and- resolution program where multiple organizations must cooperate. August 29, 2018 Mello MM, Armstrong S, Greenberg Y, et al. Challenges of Implementing a Communication-and-Resolution Program Where Multiple Organizations Must Cooperate. Health Serv Res. 2016;51 Suppl 3:…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867231/psn-pdf
    December 04, 2024 - Inequities in inpatient pediatric patient safety events by category. December 4, 2024 Pantell MS, Karvonen KL, Porter P, et al. Inequities in inpatient pediatric patient safety events by category. Hosp Pediatr. 2024;14(12):953-962. doi:10.1542/hpeds.2023-007129. https://psnet.ahrq.gov/issue/inequities-inpatient-pe…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50802/psn-pdf
    January 15, 2020 - Use of error management theory to quantify and characterize residents' error recovery strategies. January 15, 2020 Pugh CM, Law KE, Cohen ER, et al. Use of error management theory to quantify and characterize residents’ error recovery strategies. Am J Surg. 2020;219(2):214-220. doi:10.1016/j.amjsurg.2019.11.013. h…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866313/psn-pdf
    July 17, 2024 - Towards understanding and improving medication safety for patients with mental illness in primary care: a multimethod study. July 17, 2024 Ayre MJ, Lewis PJ, Phipps DL, et al. Towards understanding and improving medication safety for patients with mental illness in primary care: a multimethod study. Health Expect.…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/847715/psn-pdf
    April 19, 2023 - Integrating implementation science in a quality and patient safety improvement learning collaborative: essential ingredients and impact. April 19, 2023 Jeffs L, Bruno F, Zeng RL, et al. Integrating implementation science in a quality and patient safety improvement learning collaborative: essential ingredients and …

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866596/psn-pdf
    August 28, 2024 - Electronic Test Result Communication in the Era of the 21st Century Cures Act August 28, 2024 Bradford A, Ehsan S, Shahid U, et al. Electronic Test Result Communication In The Era Of The 21St Century Cures Act. Rockville, MD: Agency for Healthcare Research and Quality; July 2024. AHRQ Publication No. 24-0010-3-EF …

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/850355/psn-pdf
    June 14, 2023 - Using a human factors framework to assess clinician perceptions of and barriers to high reliability in hand hygiene. June 14, 2023 Vaughan-Malloy AM, Chan Yuen J, Sandora TJ. Using a human factors framework to assess clinician perceptions of and barriers to high reliability in hand hygiene. Am J Infect Control. 20…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45290/psn-pdf
    July 27, 2016 - Interventions to address potentially inappropriate prescribing in community-dwelling older adults: a systematic review of randomized controlled trials. July 27, 2016 Clyne B, Fitzgerald C, Quinlan A, et al. Interventions to Address Potentially Inappropriate Prescribing in Community-Dwelling Older Adults: A Systema…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836807/psn-pdf
    March 30, 2022 - Preventing delayed and missed care by applying artificial intelligence to trigger radiology imaging follow-up. March 30, 2022 Domingo J, Galal G, Huang J. Preventing delayed and missed care by applying artificial intelligence to trigger radiology imaging follow-up. NEJM Catal Innov Care Deliv. 2022;3(4). https://p…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72776/psn-pdf
    February 24, 2021 - Mental health of staff working in intensive care during COVID-19. February 24, 2021 Greenberg N, Weston D, Hall C, et al. Mental health of staff working in intensive care during COVID-19. Occup Med (Lond). 2020;71(2):62-67. doi:10.1093/occmed/kqaa220. https://psnet.ahrq.gov/issue/mental-health-staff-working-intens…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73163/psn-pdf
    April 21, 2021 - Implicit bias in healthcare: clinical practice, research and decision making. April 21, 2021 Gopal DP, Chetty U, O'Donnell P, et al. Implicit bias in healthcare: clinical practice, research and decision making. Future Healthc J. 2021;8(1):40-48. doi:10.7861/fhj.2020-0233. https://psnet.ahrq.gov/issue/implicit-bias…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837966/psn-pdf
    September 01, 2022 - Barcode medication administration software technology use in the emergency department and medication error rates. September 1, 2022 Gauthier-Wetzel HE. Barcode medication administration software technology use in the emergency department and medication error rates. Comput Inform Nurs. 2022;40(6):382-388. doi:10.1…
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